Provider Demographics
NPI:1558892059
Name:DAY, JAMES MITCHELL (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MITCHELL
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 HILLSGATE CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-1708
Mailing Address - Country:US
Mailing Address - Phone:812-319-2771
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL GUAM
Practice Address - Street 2:FARENHOLT AVE, BLDG 50
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GUAM
Practice Address - Zip Code:96910
Practice Address - Country:UM
Practice Address - Phone:671-344-9340
Practice Address - Fax:671-344-9441
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X
GUMD-P-2023-004208M00000X
GUM-2378208M00000X
IN01081159A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171000000XOther Service ProvidersMilitary Health Care Provider
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INVAD0000Medicare UPIN